1. Home
  2. Directory
  3. Tennessee
  4. Maryville
  5. Pharmacy
  6. NPI Profile

MAC'S PHARMACY AT BROWN'S CREEK, LLC
NPI 1205933140
Pharmacy - Community/Retail Pharmacy in Maryville, TN

Active since September 20, 2006CLIA 44D2172167 · Waiver
1612 E. LAMAR ALEXANDER PARKWAY, MARYVILLE, TN 37804(865) 982-7162(865) 977-4263 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, Oct 22, 2018, Mar 30, 2017 (3 updates tracked since 2017).

About Mac's Pharmacy At Brown's Creek, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAC'S PHARMACY AT BROWN'S CREEK, LLC (NPI 1205933140), doing business as City Drug, is a healthcare organization registered as a community/retail pharmacy in Maryville, Tennessee and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Michael Wilholt, President, as its authorized official.

NPPES Registry Identity

NPI1205933140
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMAC'S PHARMACY AT BROWN'S CREEK, LLC
Location Address1612 E. LAMAR ALEXANDER PARKWAYMaryville, TN 37804
Mailing Address1612 E. Lamar Alexander ParkwayMaryville, TN 37804 · (865) 982-7162 · Fax (865) 977-4263
Phone(865) 982-7162
Fax(865) 977-4263
Organization SubpartNo
Authorized OfficialMichael WilholtPresident · (865) 806-6453
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 27, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1205933140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in TN · 0000000664
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1612 E. LAMAR ALEXANDER PARKWAY, Maryville, TN 37804
Open in Google Maps ↗

Other Names 1

Doing Business AsCity Drug

Other Identifiers 3

Other2088358Pk
Medicaid9440097TN
Medicaid1452244TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2172167

Mac's Pharmacy At Brown's Creek · Maryville, TN
Active · expires Sep 16, 2027
CLIA Number44D2172167
Laboratory TypePharmacy
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorAnthony P. Degeorge
Laboratory Phone(865) 982-7162
Laboratory LocationMac's Pharmacy At Brown's Creek1612 E Lamar Alexander Parkway, Maryville, TN 37804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services41 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
41 services40 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mac's Pharmacy At Brown's Creek, LLC's NPI number?

The NPI number for Mac's Pharmacy At Brown's Creek, LLC is 1205933140. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as City Drug.

Where is Mac's Pharmacy At Brown's Creek, LLC located?

Mac's Pharmacy At Brown's Creek, LLC is located at 1612 E. Lamar Alexander Parkway, Maryville, TN 37804. The listed phone number is (865) 982-7162.

What is Mac's Pharmacy At Brown's Creek, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Mac's Pharmacy At Brown's Creek, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2172167) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mac's Pharmacy At Brown's Creek, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Mac's Pharmacy At Brown's Creek, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mac's Pharmacy At Brown's Creek, LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.